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Kelly Richelle Shafer, LPN
Licensed Practical Nurse in Centreville, Michigan
NPI 1174231757

Kelly Richelle Shafer is a Licensed Practical Nurse based in White Pigeon, MI. Kelly Richelle Shafer practices in Centreville, MI and has the professional credentials of LPN. The NPI Number for Kelly Richelle Shafer is 1174231757 and holds a License No. 4703111447 (Michigan).

The current practice location address for Kelly Richelle Shafer is 677 E Main St, Centreville, MI and can be reached out via phone at 269-467-1000.

Location: 677 E Main St, Centreville, MI, 49099-7716
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174231757
Provider Name
Kelly Richelle Shafer
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
677 E Main St, Centreville, MI, 49099-7716
Phone Number
269-467-1000
Fax Number
Provider Enumeration Date
11/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
677 E Main St
City
Centreville
State
Michigan
Zip
49032-8524
Phone Number
269-467-1000
Fax Number
person
Provider Business Mailing Address Details
Address
677 E Main St
City
Centreville
State
Michigan
Zip
49032-8524
Phone Number
269-467-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703111447 (Michigan)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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